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1730835190
KELTIN JIMMERSON
DOTHAN, AL
NPI
1730835190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: AL 1-162676)
Enumeration Date
2022-02-24
Last Update Date
2022-02-24
Business Address
KELTIN JIMMERSON CRNP
104 MEDICAL DR # 104
DOTHAN, AL 36303-6902
Phone number: 334-671-9447
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Mailing Address
KELTIN JIMMERSON CRNP
595 JONES RD
NEWTON, AL 36352-8072
Phone number: 334-796-3206
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